The less is always included in the greater
——————————————————————THE LESS is ALWAYS INCLUDED IN the GREATER
——————————————————————
The inclusion of one thing is the exclusion of another
——————————————————————THE INCLUSION of ONE THING IS the EXCLUSION of ANOTHER
——————————————————————http://legal-dictionary.thefreedictionary.com/_/dict.aspx?rd=1&word=include
——————————————————————
This MEANS that the term

The less is always included in the greater
——————————————————————THE LESS is ALWAYS INCLUDED IN the GREATER
——————————————————————
The inclusion of one thing is the exclusion of another
——————————————————————THE INCLUSION of ONE THING IS the EXCLUSION of ANOTHER
——————————————————————http://legal-dictionary.thefreedictionary.com/_/dict.aspx?rd=1&word=include
——————————————————————
This MEANS that the term

The less is always included in the greater
——————————————————————THE LESS is ALWAYS INCLUDED IN the GREATER
——————————————————————
The inclusion of one thing is the exclusion of another
——————————————————————THE INCLUSION of ONE THING IS the EXCLUSION of ANOTHER
——————————————————————http://legal-dictionary.thefreedictionary.com/_/dict.aspx?rd=1&word=include
——————————————————————
This MEANS that the term

To apply for an original card, you must provide at least two documents to prove age, identity, and U.S. citizenship or current lawful, work-authorized immigration status

If you are not a U.S. citizen and do not have DHS work authorization, you must prove that you have a valid non-work reason for requesting a card

See page 2 for an explanation of acceptable documents

NOTE:

If you are age 12 or older and have never received a Social Security number, you must apply in person

Replacement Social Security Card

To apply for a replacement card, you must provide one document to prove your identity

If you were born outside the U.S., you must also provide documents to prove your U.S. citizenship or current, lawful, work-authorized status

See page 2 for an explanation of acceptable documents

Changing Information on Your Social Security Record

To change the information on your Social Securitynumber record

(i.e., a name or citizenship change, or corrected date of birth)

you must provide documents to prove your identity, support the requested change, and establish the reason for the change

For example, you may provide a birth certificate to show your correct date of birth

A document supporting a name change must be recent and identify you by both your old and new names

If the name change event occurred over two years ago or if the name change document does not have enough information to prove your identity, you must also provide documents to prove your identity in your prior name and/or in some cases your new legal name

If you were born outside the U.S. you must provide a document to prove your U.S. citizenship or current lawful, work-authorized status

See page 2 for an explanation of acceptable documents

LIMITS ON REPLACEMENT SOCIAL SECURITYCARDS

Public Law 108-458 limits the number of replacement Social Security cards you may receive to 3 per calendar year and 10 in a lifetime

Cards issued to reflect changes to your legal name or changes to a work authorization legend do not count toward these limits

We may also grant exceptions to these limits if you provide evidence from an official source to establish that a Social Security card is required

IF YOU HAVE ANY QUESTIONS

If you have any questions about this form or about the evidence documents you must provide, please visit our website at http://www.socialsecurity.gov for additional information as well as locations of our offices and Social Security Card Centers

You may also call Social Security at 1-800-772-1213.

You can also find your nearest office or Card Center in your local phone book

Form SS-5 (08-2011) ef (08-2011)

Destroy Prior Editions

Page 1EVIDENCE DOCUMENTS

The following lists are examples of the types of documents you must provide with your application and are not all inclusive

Call us at 1-800-772-1213 if you cannot provide these documents

IMPORTANT :

If you are completing this application on behalf of someone else, you must provide evidence that shows your authority to sign the application as well as documents to prove your identity and the identity of the person for whom you are filing the application

We can only accept original documents or documents certified by the custodian of the original record

Notarized copies or photocopies which have not been certified by the custodian of the record are not acceptable

Evidence of Age

In general, you must provide your birth certificate

In some situations, we may accept another document that shows your age

Some of the other documents we may accept are:

● U.S. hospital record of your birth

(created at the time of birth)

● Religious record established before age five showing your age or date of birth

● Passport

● Final Adoption Decree

(the adoption decree must show that the birth information was taken from the original birth certificate)

Evidence of Identity

You must provide current, unexpired evidence of identity in your legal name

Your legal name will be shown on the Social Security card

Generally, we prefer to see documents issued in the U.S. Documents you submit to establish identity must show your legal name AND provide biographical information

If you send a photo identity document but do not appear in person, the document must show your biographical information

(e.g., your date of birth, age, or parents’ names)

Generally, documents without an expiration date should have been issued within the past two years for adults and within the past four years for children

As proof of your identity, you must provide a:

● U.S. driver’s license; or

● U.S. State-issued non-driver identity card; or

● U.S. passport

If you do not have one of the documents above or cannot get a replacement within 10 work days, we may accept other documents that show your legal name and biographical information, such as a U.S. military identity card, Certificate of Naturalization, employee identity card, certified copy of medical record

(clinic, doctor or hospital),

health insurance card, Medicaid card, or school identity card/record

For young children, we may accept medical records

(clinic, doctor, or hospital)

maintained by the medical provider

We may also accept a final adoption decree, or a school identity card, or other school record maintained by the school

If you are not a U.S. citizen, we must see your current U.S. immigration document(s) and your foreign passport with biographical information or photograph

WE CANNOT ACCEPT A BIRTH CERTIFICATE, HOSPITAL SOUVENIR BIRTH CERTIFICATE, SOCIAL SECURITY CARD STUB OR A SOCIAL SECURITY RECORD as evidence of identity

Evidence of U.S. Citizenship

In general, you must provide your U.S. birth certificate or U.S. Passport

Other documents you may provide are a Consular Report of Birth, Certificate of Citizenship, or Certificate of Naturalization

Evidence of Immigration Status

You must provide a current unexpired document issued to you by the Department of Homeland Security (DHS) showing your immigration status, such as Form I-551, I-94, or I-766

If you are an international student or exchange visitor, you may need to provide additional documents, such as Form I-20, DS-2019, or a letter authorizing employment from your school and employer (F-1) or sponsor (J-1)

We CANNOT accept a receipt showing you applied for the document

If you are not authorized to work in the U.S., we can issue you a Social Security card only if you need the number for a valid non-work reason

Your card will be marked to show you cannot work and if you do work, we will notify DHS. See page 3, item 5 for more information

Form SS-5 (08-2011) ef (08-2011)

Page 2
HOW TO COMPLETE THIS APPLICATION

Complete and sign this application LEGIBLY using ONLY black or blue ink on the attached or downloaded form using only 8 1⁄2” x 11” (or A4 8.25” x 11.7”) paper

GENERAL:

Items on the form are self-explanatory or are discussed below

The numbers match the numbered items on the form

If you are completing this form for someone else, please complete the items as they apply to that person

4. Show the month, day, and full

(4 digit)

year of birth;

for example,

“1998”

for year of birth

5. If you check

“Legal Alien Not Allowed to Work”

or

“Other,”

you must provide a document from a

U.S. Federal,

State,

or

local governmentagency

that explains why you need a

Social Security number

and that you meet all the requirements for the

government benefit

NOTE:

Most agencies do not require that you have a SocialSecurity number

Contact us to see if your reason qualifies for a SocialSecurity number

6., 7. Providing race and ethnicity information is voluntary and is requested for informational and statistical purposes only

Your choice whether to answer or not does not affect decisions we make on your application

If you do provide this information, we will treat it very carefully

9.B., 10.B. If you are applying for an original SocialSecurity card for a child under age 18, you MUST show the parents’ Social Security numbers unless the parent was never assigned a Social Security number

If the number is not known and you cannot obtain it, check the “unknown” box

13. If the date of birth you show in item 4 is different from the date of birth currently shown on your Social Security record, show the date of birth currently shown on your record in item 13 and provide evidence to support the date of birth shown in item 4

16. Show an address where you can receive your card 7 to 14 days from now

17. WHO CAN SIGN THE APPLICATION?

If you are age 18 or older and are physically and mentally capable of reading and completing the application, you must sign in item 17

If you are under age 18, you may either sign yourself, or a parent or legal guardian may sign for you

If you are over age 18 and cannot sign on your own behalf, a legal guardian, parent, or close relative may generally sign for you

If you cannot sign your name, you should sign with an “X” mark and have two people sign as witnesses in the space beside the mark

Please do not alter your signature by including additional information on the signature line as this may invalidate your application

Call us if you have questions about who may sign your application

HOW TO SUBMIT THIS APPLICATION

In most cases, you can take or mail this signed application with your documents to any Social Security office

We may also use the information you provide in computer matching programs

Matching programs compare our records with records kept by other Federal, State, or local government agencies

Information from these matching programs can be used to establish or verify a person’s eligibility for Federally–funded or administeredbenefitprograms and for repayment of payments or delinquent debts under these programs

Complete lists of routine uses for this information are available in System of Records Notice 60-0058

(Master Files of Social Security Number (SSN) Holders and SSN Applications)

The Notice, additional information regarding this form, and information regarding our systems and programs, are available on-line at http://www.socialsecurity.gov or at any local Social Security office

This information collection meets the requirements of 44 U.S.C. §3507, as amended by Section 2 of the Paperwork Reduction Act of 1995

You do not need to answer these questions unless we display a valid Office of Management and Budget control number

We estimate that it will take about 8.5 to 9.5 minutes to read the instructions, gather the facts, and answer the questions

You may send comments on our time estimate to:

SSA, 6401 Security Blvd., Baltimore, MD 21235-6401

Send only comments relating to our time estimate to this address, not the completed form